Analysis of Research on Adherence for Secondary Prevention in Patients with Coronary Artery Disease in Korea.
- Author:
Youn Jung SON
1
;
Sun Hee KIM
;
Hyo Suk SONG
Author Information
1. Department of Nursing, College of Medicine, Soonchunhyang University, Korea.
- Publication Type:Clinical Trial ; Original Article ; Controlled Clinical Trial
- Keywords:
Coronary Artery Disease;
Patient Adherence;
Research;
Review
- MeSH:
Aged;
Compliance;
Coronary Artery Disease;
Coronary Vessels;
Diet;
Health Behavior;
Humans;
Clinical Trial;
Korea;
Patient Compliance;
Secondary Prevention;
Self Care
- From:Journal of Korean Academy of Fundamental Nursing
2010;17(4):575-587
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to analyze the research on adherence for secondary prevention in patients with coronary artery disease (CAD) in Korea, and to identify the strategies for improvement that should be included in future studies. METHODS: Electric literature searches were conducted for Pubmed, CINAHL, RISS4U, KISTI, DBpia, KoreaMed, National Assembly Library, and National Library of Korea. A total of forty two articles published between 1986 and 2009 were selected based on established inclusion criteria. RESULTS: Forty research papers were related to nursing, and there was only one research paper focused on elderly people with CAD. There were no papers using concept analysis, qualitative study, or randomized controlled clinical trial. Almost all definitions of adherence were adopted from outdated compliance definitions with the attribute of 'paternalistic obligation'. Measurement tools were not based on theoretical framework of adherence but borrowed from tools for measuring self-care, health behavior, or self-efficacy. Overall patient's adherence was analyzed in most studies, except for a few studies which focused on diet and exercise only. Educational strategy was the main strategy used in intervention studies. CONCLUSIONS: The concept of adherence and measurement tools need to be clarified, along with development of the specific adherence interventions according to the type of adherence in patients with CAD.
